Conversion of Labor Analgesia for Intrapartum Cesarean Delivery: DPE v CSE v Epidural

Part of paid clinical trials in Rochester, Minnesota.

Sponsor
Mayo Clinic
Study ID
NCT05514431
Status
Enrolling By Invitation

Conditions

  • Analgesia
  • Anesthesia

Eligibility Criteria

Sex
FEMALE
Age
N/A - N/A
Healthy Volunteers
Accepted

Interventions

  • Epidural — PROCEDURE
    Traditional epidural catheter placement
  • Dural Puncture Epidural (DPE) technique — PROCEDURE
    Epidural catheters placed via DPE technique
  • Combined Spinal-Epidural (CSE) technique — PROCEDURE
    Epidural catheters placed via CSE technique

Study Details

As the dural puncture epidural (DPE) is increasing in popularity for labor analgesia, it is important to understand how it impacts outcomes in parturients. Prior studies have found epidural catheters placed via the combined-spinal epidural technique have greater success at surgical conversion for cesarean delivery than catheters placed via traditional techniques. The investigators aim to determine if epidural catheters placed by a DPE technique will also have an increased successful conversion for surgical anesthesia by conducting a retrospective review of all CD during the study period. If an association is found, this could be another benefit of DPE for labor analgesia.

Key Dates

Start date
Feb 1, 2017
Status verified
Aug 2025
Primary completion
Jul 31, 2026
Completion
Jul 31, 2026

Study Design

Enrollment
1,500 participants (estimated)

Arms

  • Arm: Dural puncture epidural (DPE)
    Subjects that received neuraxial labor analgesia of dural puncture epidural for intrapartum cesarean delivery
  • Arm: Combined spinal epidural (CSE)
    Subjects that received neuraxial labor analgesia of combined spinal epidural for intrapartum cesarean delivery
  • Arm: Traditional Epidural
    Subjects that received neuraxial labor analgesia of epidural for intrapartum cesarean delivery

Primary Outcome Measure

Conversion to surgical anesthesia [ Time Frame: Baseline ]

Locations (1)

FacilityCityStateZIPSite coordinators
Mayo ClinicRochesterMinnesota55902-

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By research site
Mayo Clinic· Rochester, MN

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